| Doctor Name: | DR. MYRIAM E. URRUTIA-EDER |
| NPI Number: | 1225023534 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 0101035616 |
| Business Practice Address: | 2616 Sherwood Hall Ln #203 Alexandria, VA - 223063100 |
| Business Phone Number: | 7033600594 |
| Business Fax Number: | 7037809518 |
| Mailing Address: | 2616 Sherwood Hall Ln, #203 ALEXANDRIA |
| State: | VA |
| Postal Code: | 223063100 |
| Phone Number: | 7033600594 |
| Fax Number: | 7037809518 |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 12/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101035616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |